Chapter 239: Stop at the foot of the mountain
The vascular reconstruction images transmitted from Tokyo appeared on the big screen.
It is very clear. The source and direction of each blood vessel, its entanglement with other blood vessels, and its relationship with surrounding organs are all clear.
You need to look at any blood vessel individually, and it will be displayed individually in green, from the origin to the bifurcation. This image can be used as a reference for the surgery to truly guide the surgery.
Takahashi was still immersed in depression just now, but when Fujiwara Miyuki said that the image could be seen on the screen, his eyes immediately regained their vitality.
The reconstructed images planned the sequence of surgeries for him. This sequence was calculated by the computer and was optimal. Takahashi knew the power of this system.
He immediately changed his mind and started looking for the eighth blood vessel according to the guidance of the image. Sure enough, this one was easier to separate than the one he had just found.
However, because blood vessels are malformed, extremely fragile, adhere to each other, and are inextricably linked to important organs, blunt separation can easily cause tearing and damage to adjacent organs.
Now this blood vessel originates from the aorta and is still adherent to the aorta. It is systematically arranged in the front. You can imagine the difficulty of the blood vessels in the back.
This operation made people a little desperate and suffocating. Takahashi completely lost the desire for expression and just quietly separated the blood vessels, hoping to separate them quickly.
The movements of the hands are very skillful, but they can't get up quickly. In this way, the separate and independent operation of the hands will not be useful. Moreover, in such dangerous conditions, it is easy to cause accidents if the left and right hands are operated separately. After all, there is no cooperative operation with both hands. Come safe and stable.
Blunt dissection is not possible, only sharp dissection with a sharp knife or tissue scissors.
"Tissue scissors!"
Takahashi used tissue scissors to carefully separate the blood vessels. The intestines were separated bit by bit, getting closer and closer to the abdominal aorta, and the blood vessels actually wrapped around it.
Like dancing on the tip of a knife, Takahashi's technique is skillful, but unfortunately, the direction of these abnormal blood vessels is too complicated. If it is not ligated from the dry part, it is almost useless to just ligate it casually. A few of them will be left unprocessed later. Patients will die from hemorrhagic shock.
Although these blood vessels were deformed, they were very thick, with more than a hundred of them having a diameter of 0.5 centimeters or more. They were so rare and complicated that they were finally separated to the main trunk where they originated and sutured.
It took five minutes. With the help of this clear image, it actually took five minutes. At this speed, I could only find a dozen blood vessels at most.
The ninth blood vessel is even more difficult. As expected, the computer's ranking will not be wrong. Takahashi is sweating on his forehead. There are still thirty minutes left. Not counting the failure of the aortic blockade, this patient cannot Keep going like this,
These blood vessels extend up to the liver, gallbladder, pancreas, spleen, down to the kidneys, and back to the spine. No matter how clear the image is, the operation still cannot be advanced.
No matter how accurate the intelligence is, the enemy is too powerful and cannot be defeated!
Takahashi turned around and moved out of the operating area, and the circulating nurse wiped the sweat from his forehead.
——
Fujiwara Masao sighed. This patient was more complicated than the one he met many years ago. It took Takahashi fifteen minutes to deal with eight blood vessels. Now it took another five minutes and the ninth one could not be separated. Blood vessels, surgery cannot proceed.
Although the patient on the screen is covered with a thick sterile drape, and only the surgical area is exposed, any doctor would feel uncomfortable watching this patient leave without being able to be rescued.
Masao Fujiwara picked up his cell phone. Oh, Takahashi was on the operating table. He should dial Miyuki's cell phone.
"Let Professor Han stop the live broadcast! Let Takahashi answer the phone!"
It's so cruel. It's so cruel to see the patient on the operating table, the doctor is helpless, and finally everyone watches the patient die.
Takahashi retracted his hands into the protective bag on his chest and went to an open safe area. Miyuki Fujiwara put the phone to his ear: "Takahashi, listen, even at our hospital in Tokyo, you can't complete this surgery. Please Face it, give up, you are my best student, you tried your best.”
"Okay, sir!" Takahashi said respectfully.
Fujiwara Miyuki turned on the speakerphone of her phone again: "Dear Professor Han, we have tried our best. Every doctor is unwilling to see this result, but we still have to make a decision. Turn off the video. The friendship demonstration ends here. , even Takahashi can’t take it down, no one can complete this operation——”
The judgment on the phone was unquestionable. Even Takahashi could not perform this operation. No one among the doctors present could do it. Takahashi had already stood at the top of the world's trauma surgery pyramid.
But after all, he is only a person, a doctor. His manpower is limited, and the doctor's medical skills are also limited, and there are areas he cannot achieve.
After answering the phone, Takahashi felt a strong sense of frustration and his head was buzzing. He had never had such an embarrassing operation before.
He was full of confidence when he came on stage, especially when Mr. Fujiwara used the latest image reconstruction engine from far away Japan to recreate the blood vessel images. He was even more confident.
But after taking the stage, the first, second, and third blood vessels were very easy, the fourth blood vessel took longer to start, the fifth blood vessel was already strenuous, the sixth blood vessel was very difficult, and the seventh blood vessel already relied on luck to complete. The eight roots took five minutes and were handled very roughly. The ninth root had no bottom at all, was twisted and intertwined with the hepatic artery, and could not be found or separated. Indiscriminate ligation would cause blood supply disorders to the liver.
His back was covered in sweat, and his hands were a little unruly. He didn't feel sorry for his teacher, and he didn't complete this Everest-like operation in front of everyone.
He moved his neck slightly, looked up at the ceiling, and seemed to have reached the foot of the mountain. He set off and climbed a few steps, but could no longer move forward.
Facts are facts! Objective facts are as hard as steel!
"I'm sorry, Professor Han——, please cut off the video?"
There was no time for him to hesitate too long, Takahashi was forced to say helplessly.
Director Tan stood there and looked at Director Han. Director Han didn't say anything, he just looked at the clear vascular reconstruction image from Tokyo on the screen.
"Xiao Yang, do you see this picture clearly?"
Yang Ping nodded. Indeed, this image is much clearer than the previous CT reconstruction image. The previous image was like boiled noodles, mixed together and forming a dough, and it was indistinguishable; now it is like noodles one by one. , the relationship between them is clear, both in terms of fineness and accuracy, it is not a little bit better than the previous images.
If it was still very difficult to complete the operation based on the previous images, it was basically not difficult to do it based on the current image.
Yang Ping had just reconstructed the image in his brain. After all, what he could use for brain composition was only the original CT image. "Any questions?"
“It’s not a big problem!”
That means there is no problem!
"It's too early to give up now. Let's all rest. Xiao Yang comes on stage and takes the lead! Xiao Song Yishu, Xiao Zhang and Xiao Wu are cooperating. Xiao Wu, wash your hands and go on stage!"
Xiaowu had just gone to help Fujiwara Miyuki transfer pictures. He had already taken off his surgical gown and gloves and needed to wash his hands and dress again.
Takahashi looked at Director Han, is he crazy?
I, Fumiya Takahashi, can't even take it, but I still ask people to come on stage. Is this asking everyone to watch the patient leave on the operating table?
absurd! Takahashi was a little angry, took off his surgical gown and gloves, and threw them into a large yellow drum.
"Vital signs are temporarily stable--"
The fat man became excited.
Finally, Yang Ping came on stage. Song Zimo immediately cheered up. Director Han and Director Tan were also preparing to step down. Director Han asked: "Do you want us to provide you with the stage?"
"Thank you, director. Song Zimo and the others are enough." Yang Ping stood at the chief surgeon's position.
Director Han muttered: "Brace yourself, this operation is the Mount Everest of trauma surgery. There are more than a hundred blood vessels. Not one of them can be missed. If one is missed, it will be equivalent to the bleeding rate of a femoral artery. Take Show your best, remember what I said? There is no boss today, you are the boss! I am just sitting here, give it a try!"
Director Han did not take off his clothes or gloves. Director Tan saw that Director Han did not take off his clothes and gloves, so he did not take off either. The circulating nurse moved a few stools and Director Han sat down.
Takahashi and Miyuki Fujiwara had no intention of going out, so they also sat down in the operating room. In order not to contaminate Director Han and Director Tan, they sat down far away from each other, leaning against each other and looking at the screen in the operating room.
——
This operation is too difficult. Takahashi can no longer handle it and wants to turn off the video.
What is shown in the video is the surgical area, because the surgeon's hands and instruments have moved out of the surgical area. After a brief blank, several pairs of hands enter the video.
Two S retractors opened the abdominal cavity, and two pairs of hands began the operation. These were the hands of the chief surgeon and the first assistant.
The subtitles appear, just like typing out the words one by one.
Surgeon: Yang Ping, attending physician of orthopedics.
First Assistant: Song Zimo, attending physician in the Department of Orthopedics.
Yang Ping came on stage, and Professor Su immediately sat up straight. Old Han still sent him on the stage, but could he cope with it?
"Dr. Yang has come to power?" Cheng Liquan reminded Su Nanchen.
Su Nanchen really paid attention to the screen: "He finally came on stage -" can he win it?
Yang Ping, Ou Lichun saw the name, yes, it was his classmate.
"My classmate is on stage!" Ou Lichun pulled Director Zhang to show him.
Director Zhang didn't want to watch it, so he glanced at it casually: "Go on stage and close the abdomen, then perform debridement and sutures on the face and left upper limb, and then turn off the video immediately——"
Also, Ou Lichun was poured cold water on by Director Zhang. Now that he is on stage, an attending doctor can do anything he can to clean up the mess. This operation has been abandoned.
——
Masao Fujiwara had mixed feelings in his heart. Unfortunately, this patient had to watch helplessly give up again. He felt very uncomfortable.
Turn off the video, he couldn't bear to watch it anymore, but his eyes didn't obey him and he kept looking at the screen, as if he was hoping for some miracle to happen.
Takahashi only took eight steps and then stopped. He could no longer climb up. If he had been at the scene, he might not be sure. With the new algorithm to reconstruct the image, 80%? Sixty percent? have no idea.
Why hasn't the video been turned off? Are they crazy?
In the video, several hands, two retractors, and two hands have already begun to move. They are not closing the abdomen, but looking for blood vessels and suturing them.
Don't they have any basic ethical concepts?
In this case, in order to maintain the patient's final dignity, the patient should not appear on the video again.
The ninth blood vessel that Takahashi had not found was found and successfully separated. He clamped and cut the blood vessel with his right hand; he found the tenth blood vessel with his left hand.
No, the eleventh one was also found, followed closely by the twelve.
Both of these people are the chief surgeons. They operate at the same time, starting from the upper and lower directions, and both of them use their left and right hands to operate independently, which is equivalent to four people operating at the same time.
Fujiwara Masao saw the strange operations of these two hands at a glance.
The speed of one pair of hands is extremely fast, while the speed of the other pair of hands is obviously much slower, but it is still beyond Takahashi's ability to operate his hands separately and independently.
He was about to turn off the electronic screen, but Fujiwara immediately shouted:
etc!
(End of chapter)